A client is being discharged home after having a tracheostomy ...

[arivle123]

A client is being discharged home after having a tracheostomy placed. What suggestions does the nurse offer to help the client maintain self-esteem? (Select all that apply.)
 
  a. Create a communication system.
  b. Don't go out in public alone.
  c. Find hobbies to enjoy at home.
  d. Try loose-fitting shirts with collars.
  e. Wear fashionable scarves.

Question 2

A nurse is caring for a client who has a tracheostomy tube. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Applying water-soluble lip balm to the client's lips
  b. Ensuring the humidification provided is adequate
  c. Performing oral care with alcohol-based mouthwash
  d. Reminding the client to cough and deep breathe often
  e. Suctioning excess secretions through the tracheostomy

[joshraies]

Answer to Question 1

ANS: A, D, E
The client with a tracheostomy may be shy and hesitant to go out in public. The client should have a sound communication method to ease frustration. The nurse can also suggest ways of enhancing appearance so the client is willing to leave the house. These can include wearing scarves and loose-fitting shirts to hide the stoma. Keeping the client homebound is not good advice.

Answer to Question 2

ANS: A, D
The UAP can perform hygiene measures such as applying lip balm and reinforce teaching such as reminding the client to perform coughing and deep-breathing exercises. Oral care can be accomplished with normal saline, not products that dry the mouth. Ensuring the humidity is adequate and suctioning through the tracheostomy are nursing functions.

[arivle123]

Excellent

[Joy Chen]

TYSM